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Membership Form
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Membership Change of Information Form
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OPSEU Expense Claim Form
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Local Time Off Form
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OPS Benefits Booklet
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OSPEU Member Medical/Health Form
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OSPEU Member Dental Form
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Appealing OPS Benefits Claims to the JIBRC
OPS Benefits Claim Appeal Form
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Liberalizations
CURRENT LIST OF LIBERALIZATIONS * under the
Supplementary Health & Hospital Plan AS OF MAY 1, 2003
* A liberalization is a term that is used for a benefit allowed for
a member which is not necessarily or normally listed in the benefits
booklet or in the collective agreement.
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For Dental Claims:

GREAT WEST LIFE (Policy No.330021)
Toronto Benefits Payments
P.O. Box 4076
Station A Toronto, Ontario
M5W 3A3
Telephone: (416) 440-0406
Toll Free: 1-800-874-5899
Website: http://www.greatwestlife.com

For SH&H Claims:
MANULIFE FINANCIAL (Policy No.15900)
Group Health Claims Office P.O. Box 1657
Waterloo, Ontario
N3J 4W5
Telephone: 1-888-877-4434
Website: http://www.manulife.com

For Basic, Supplementary/Dependent Life Insurance:
Manulife Financial Group Benefits (Policy No. 15901)
Life Claims Office
P.O. Box 1602
500 King Street North
Waterloo, Ontario
N2J 46
Telephone: 1-888-877-4434
Website: http://www.manulife.com

For LTIP Claims:
Manulife Financial (Policy No. 15902)
Toronto Group Disability Benefits
P.O. Box 4606 Station A
2 Queen Street East
Toronto, Ontario
M5W 4Z5
Telephone: (416) 687-5049
Toll Free: 1-800-735-7718
Fax: (416) 687-5135

© copyright 2007 Local 524